The Final Chapter

As expected, France’s counterpart to the U.S. National Transportation Safety Board, the Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile (BEA), on July 5 released its long-awaited final report into the loss of Air France Flight 447, an Airbus A330 that disappeared over the equitorial Atlantic Ocean on June 1, 2009. Also as expected, the BEA found a complicated series of events led to the crash, almost all of them associated with crew training and expectations.

Key Takeaways:

• The BEA's final report on Air France Flight 447 concluded that the crash stemmed from a complex series of events, primarily linked to crew training and expectations, following an initial pitot system failure.
• The crew failed to recognize the pitot system failure, made inappropriate control inputs, and subsequently stalled the aircraft at high altitude without diagnosing or recovering from the stall.
• Key recommendations include enhancing initial and recurrent airline crew training, improving simulator realism, ensuring better discernment of flight instrument information, and reviewing stall warning system functionality at very low airspeeds.

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